The Official Journal of EuroPCR and the European Association of Percutaneous Coronary Interventions (EAPCI)


Mechanical circulatory support-assisted percutaneous coronary intervention: have we reached the point of no return?

EuroIntervention 2021;16:e1211-e1212. DOI: 10.4244/EIJV16I15A218

1. Deutsches Herzzentrum München, Technische Universität München, Munich, Germany; 2. DZHK (German Centre for Cardiovascular Research), partner site Munich Heart Alliance, Munich, Germany

Acute myocardial infarction (AMI) can be complicated by cardiogenic shock (CS) – a state of critical organ hypoperfusion with hypoxia caused by primary cardiac disorders – which occurs in up to 13% of AMI cases1. Left ventricular failure secondary to AMI remains the main cause of CS (approx. 80% of AMI-CS cases). In case of refractory shock, when haemodynamic stabilisation/adequate perfusion cannot be achieved despite implementation of contemporary supportive measures, mechanical circulatory support (MCS) may be initiated to augment cardiac output temporarily. The most frequently used temporary circulatory support devices include the intra-aortic balloon pump (IABP; Getinge Group, Gothenburg, Sweden), ...

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